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Indiana rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.51 / $355.99 / $355.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $160.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.87 / $317.83 / $476.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.08 / $158.91 / $219.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $238.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $190.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.51 / $158.91 / $407.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $158.91 / $212.29